Organization
OPEN MRI INC
Active
Other names
INSIGHT IMAGING - HAYWARD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN G DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
(949) 282-6000
Entity
Organization
Contact information
Practice address
3521 INVESTMENT BLVD, STE 5, HAYWARD, CA 94545-3704
(510) 670-0700
(510) 784-1142
Mailing address
FILE 57174, LOS ANGELES, CA 90074-0001
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXE70096F
—
CA
Enumeration date
04/28/2006
Last updated
11/08/2007
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